Individual provider Active NPI

Kelley Lyn Sturrock, MD

  • Obstetrics & Gynecology Physician
  • Hartford, CT
National Provider Identifier
1114993987
Registry record updated Mar 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0101236730 Issued in VA
Practice address
100 Retreat Ave
Ste 201
Hartford, CT 06106-2528
Phone
(860) 246-8568
Fax
(860) 728-5076
NPI assigned
Feb 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0101236730 VA Primary

Addresses

Primary practice location

100 Retreat Ave
Ste 201
Hartford, CT 06106-2528

Mailing address

100 Retreat Ave
Ste. 201
Hartford, CT 06106-2528
Phone (860) 246-8568

Other identifiers 1

IdentifierTypeStateIssuer
010100615MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081230000578 CT Practitioner - Obstetrics/Gynecology 7214902824 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Albany Medical College of Union University, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians for Women'S Health, LLCGroup PAC ID 3274430665, 319 clinicians

Practice addresses (Care Compare)

100 Retreat Ave
Suite 201
Hartford, CT 06106-2528
Phone (860) 246-8568

Merit-based Incentive Payment System (MIPS)

Final score
89.08 of 100Reported as group
Quality
85.82
Promoting interoperability
100
Improvement activities
40
Cost
77.8

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians for Women'S Health LLC Obstetrics & Gynecology CurrentSince Dec 1, 2008 Accepting new patients
Hartford Hospital CurrentSince Jan 6, 2010 Accepting new patients
Hartford Hospital Obstetrics & Gynecology CurrentSince Jan 6, 2010 Accepting new patients
Hartford Hospital CurrentSince Jan 6, 2010 Accepting new patients
Charter Anesthesiology LLC Past Accepting new patients

Locations

103 Newtown Rd
Danbury, CT 06810
Phone (203) 730-8789

8 Two Mile Rd
Ste 204
Farmington, CT 06032
Phone (860) 246-8568

148 Eastern Blvd
Ste 102
Glastonbury, CT 06033
Phone (860) 246-8568

148 Eastern Blvd
Glastonbury, CT 06033
Phone (860) 506-0611

100 Retreat Ave
Ste 201
Hartford, CT 06106
Phone (860) 246-8568

1084 Cromwell Ave
Rocky Hill, CT 06067
Phone (860) 257-1334

Interoperability endpoints

  • Direct secure messaging: kelley.sturrock.1@10170.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301529600000",
    "number": "1114993987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 RETREAT AVE",
            "address_2": "STE. 201",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061062528",
            "telephone_number": "860-246-8568",
            "fax_number": "860-728-5076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RETREAT AVE",
            "address_2": "STE 201",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061062528",
            "telephone_number": "860-246-8568",
            "fax_number": "860-728-5076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STURROCK",
        "first_name": "KELLEY",
        "middle_name": "LYN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2011-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101236730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010100615",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.